Evaluation
Pre- and post-evaluation of participants’ knowledge, skills and the usefulness of content should be standard.
The programme should be quality assured, and be reviewed against criteria that ensure consistency and cultural safety.
The outcomes from the programme should be regularly audited and reported (as per Outcome monitoring below).
Patients and their medical homes (medical home: a model of the organisation of primary care that delivers the core functions of primary health care) should have confidential feedback on topics discussed and individual pre- and post-evaluation results.
Follow-up by health care providers is required to optimise and support patient learning, the reaching of self-set goals and maintaining behaviour change over time.
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee (2013) state the following:
‘Interventions that include face-to-face delivery, a cognitive-behavioural method and the practical application of content are more likely to improve glycaemic control. The most effective behavioural interventions involve a patient-centred approach, shared decision-making, the enablement of problem-solving skills and the use of action plans directed toward patient-chosen goals. Steps to success in self-management education (SME) are summarised in Figure 1’ (p S28).
It can be accessed at: http://guidelines.diabetes.ca/App_Themes/CDACPG/resources/cpg_2013_full_en.pdf.
Figure 1: Steps to success in self-management education
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